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Telephone Service Representative Application

Name*
FirstLast
Phone*
Email*
Address
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Person to notify in case of emergency:
Emergency phone number:
Location you are applying for:*
Type of position you are applying for:*
When are you available to start?
Salary Requirements:
Do you have reliable transportation?
Have you worked in the following fields:
- Politics
- Customer Service
- Fund Raising
- Telemarketing
- Sales
Have you ever worked for FLS?*
If yes, when?
Have you ever been convicted of or pled guilty to a Felony offense related to fraud, physical harm to another or any financial related convictions? *
If yes, please explain:
Please list your job history starting with your current or most recent position. Include any periods in which you were not employed and explain what you were doing during that time. Include U.S. military experience (show rank/rate at discharge), summer/part-time jobs, and cooperative education assignments.
Current/Previous Employer:
Address
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Starting Pay/hr:
Ending Pay/hr:
Starting Position Title:
Ending Position Title:
Start Date (month/year)
End Date (month/year)
Supervisor Name:
Supervisor Title:
Type of Position:
If part-time, approximate number of hours/week worked:
May we contact your present employer?
Reason for Leaving:
Describe responsibilities and/or accomplishments:
Are there more previous employers you would like to add?
Previous Employer:
Address
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Starting Pay/hr:
Ending Pay/hr:
Starting Position Title:
Ending Position Title:
Start Date (month/year):
End Date (month/year):
Supervisor Name:
Supervisor Name:
Type of Position:
If part-time, approximate number of hours/week worked:
Reason for leaving:
Describe responsibilities and/or accomplishments:
Are there more previous employers you would like to add?
Previous Employer:
Address
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Starting Pay/hr:
Ending Pay/hr:
Starting Position Title:
Ending Position Title:
Start Date (month/year):
End Date (month/year):
Supervisor Name:
Supervisor Title:
Type of Position:
If part-time, approximate number of hours/week worked:
Reason for leaving:
Describe responsibilities and/or accomplishments:
List 3 people (not friends or relatives), preferably past employers or co-workers, who can tell us about your qualifications.
Past Employer/Title
Company
Home Phone
Work Phone
Past Employer/Title
Company
Home Phone
Work Phone
Co-Worker
Company
Home Phone
Work Phone
Explain why you want to work for FLS and why you would be a good candidate for this position:
Highest Grade Completed in High School:
Highest Grade Completed in College:
Technical College/ Trade School Name:
Skill/Trade Studied:
Degree/Certificate Earned?
College Name:
Major Studied:
Degree Earned?
How did you hear about FLS?*
- Newspaper
- Job Service
- College/School
- Community Agency (Workforce Center, Social Services, etc.)
- Job Fair
- Other
- Referral from Employee/Business
Which Newspaper?
Location of Job Fair?
Other:
Referral Name:
By clicking the SUBMIT button I authorize and agree to the following items:
* I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.
* I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.
* I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.
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